Magnuson-Stimpson Medical Clinic

NPI #1346397064 in Shelbyville, Tennessee

Provider Information

NPI Number: 1346397064
Entity Type: Organization
Organization Name: Magnuson-Stimpson Medical Clinic
Primary Specialty: Family Medicine
Enumeration Date: Jan 4, 2007
Last Updated: Jun 1, 2010

Practice Location

Address: 1701 N MAIN ST
Address 2: SUITE D
City: Shelbyville
State: Tennessee
ZIP Code: 37160-2303
Phone: (931) 685-4060

Authorized Official

Name: DR. CAROL L. MAGNUSON, M.D.
Title: GENERAL PARTNER
Phone: (931) 685-4060

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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